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TOPS CMS-1500 Laser Printer Forms (TOP50126RV)

Model: TOP50126RV
Small Package; Eligible for UPS Shipping
TOPS
TOPS CMS-1500 Laser Printer Forms (TOP50126RV)

TOPS CMS-1500 Laser Printer Forms (TOP50126RV)

Model: TOP50126RV
Small Package; Eligible for UPS Shipping
TOPS
  • 20 lb - 1 Part - 8.50" x 11" Form Size - White - Red Print Color - Paper - 500 / Pack

$39.79
  • In Stock

Product Description

CMS-1500 forms comply with current physicians' standards for expediting Medicare and Medicaid payments. Each meets requirements of the Centers for Medicare and Medicaid Services, Champus and the AMA Council of Medical Service. Front and back of the white 20 lb. bond paper are printed in red OCR ink without a sensor bar. Forms are compatible with laser printers. Detached size is 8-1/2" x 11".

Product Features

  • Approved by the AMA and the National Uniform Claim Committee (NUCC)

  • Printed in red OCR ink without a sensor bar

  • Compatible with laser printers

  • Detached size: 8-1/2" x 11"

Product Specs

Manufacturer

TOPS

Manufacturer Stock No.

50126RV

MPN

TOP50126RV

Model#

50126RV

UPC Code

989848162678

UNSPSC Code

0

Basis Weight

20 lb

Brand Name

TOPS

Country of Origin

United States

Form Length

8.50"

Form Width

11"

Height

9.5"

Manufacturer

TOPS Products

Manufacturer Part Number

50126RV

Manufacturer Website Address

http://www.tops-products.com

Number of Parts

1

Packaged Quantity

500 / Pack

Print Color

Red

Product Name

CMS-1500 Laser Printer Forms

Product Type

Health Insurance Form

Recycled

No

Width

11"

Product material

Paper

Assembly Required

No assembly is required

Contains Recycled Materials

N

Returnable

No

Unit of Measure

PK

Item Weight

5.4

Ships via UPS

Y

Brand

TOPS

Country of Origin

US

UNSPSC Number

14111806

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TOPS CMS-1500 Laser Printer Forms (TOP50126RV) Reviews

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